Many Americans claim to be satisfied with their health insurance, but it is quite expensive. And the US is the only prosperous industrialized nation that does not guarantee health care for all. About one in ten Americans is uninsured, but has much more trouble paying his medical bills. Medicare for All: This proposal by Vermont's Sen. Bernie Sanders would radically change the way Americans are treated and change control to the federal government and essentially eliminate the private insurance industry.
According to Sanders plan, Americans would be included in a national health insurance program known as the "payer" system, which many other industrialized countries have. The federal government would run the program and pay it ̵
1; and the taxpayers – the bills.
Medically necessary services would be covered and there would be no premiums, deductibles or additional payments. It would expand the current Medicare benefits package to include eyes, teeth, hearing and long-term care at home or in the community. Nursing homes and other institutional services would be covered by Medicaid.
Private insurers are not prohibited, but they can not sell policies that cover the benefits of the federal plan. This gives them a very niche market that covers elective services such as cosmetic surgery.
Public Option: Moderate candidates are pushing for a so-called public option, which is supported by the government's insurance plan.
While a public option may take several forms, several competitors would add such a plan to the exchanges of the Affordable Care Act.
Theoretically, the public option should be more affordable for consumers as the government could use its power to negotiate cheaper rates with physicians and hospitals and cut costs. How effective it would be depends on how it's set up, and most of the candidates did not deal with the details.
Some seeking the nomination see a public option as a first step towards overhauling Medicare for all types. Others say, however, that the best way to extend coverage to more Americans is to offer a public plan and to increase federal subsidies for the Affordable Care Act guidelines. The groundbreaking law adopted in 2010 fundamentally changed the country's health system. More notable provisions included the creation of an insurance marketplace and the extension of Medicaid to low-income Americans, both of which began in 2014.
Around 11.4 million people signed up for the 2019 stock market policies, and 12.7 million people are covered by the Medicaid extension.
The law allowed children to adhere to their parents' policies until the age of 26. It also prohibited insurers from refusing coverage or charging consumers higher rates based on existing safeguards. Insurers must also provide comprehensive services, including prescription drugs, maternity and mental health.
Employer-sponsored Insurance: About half of Americans – or more than 150 million people – receive their health insurance through their jobs today.
According to a recent survey by the Kaiser Family Foundation, three-quarters of the population is in favor of work-related reporting. Of those who have such plans, 86% rate their coverage "excellent" or "good."
But these guidelines have become much more expensive in recent years. The annual premiums for a family plan averaged nearly $ 20,000 last year, with workers contributing about $ 5,550 and employers paying the rest.
Since 2008, average family premiums have risen by 55%, twice as fast According to Kaiser, deductibles have risen just as rapidly as workers' incomes and three times as fast as inflation.
This contributes to the financial hardship that many Americans feel when in need of medical care. The average deductible for one person is now nearly $ 1,575 for those workers who have one, compared to $ 735 in 2008.
Medicare: Founded in 1965, this federal program provides health insurance for about 60 people in front of millions of elderly and disabled Americans. It covers hospital stays, rehabilitation and doctor visits, but not sight, hearing, dental and long-term care.
Medicare participants pay premiums, have deductibles, and typically pay 20% of many medical benefits. Unlike the Affordable Care Act and the employer plans, there is no limit on spending on hospitalization and outpatient services. About three out of ten subscribers purchase additional Medigap plans from insurers to cover the cost of care while covering approximately the same number of their employer's pensioner health insurance plans.
As of 2006, Medicare will offer prescription drug insurance – known as Part D – by private insurers contracting with the government. Some have to pay premiums, and most, if not all, have to share the cost of medical care. These policies are required to limit out-of-pocket expenses to $ 6,700 and provide additional benefits such as eyesight and dental health. However, not all doctors and hospitals accept Medicare Advantage plans, while most accept traditional Medicare offers.
Some candidates also prefer a so-called Medicare buy-in plan that allows people under the age of 65 to purchase Medicare or Medicare Advantage policies.